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Old 05-04-2012
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Stethoscope Making shortcuts in auscultation in the Step 2 CS encounter?

Hi there,

Like in USMLE Wrold videos, do we have to examine Heart in both sitting and lying position all the time?? i felt it is very time consuming.
And the second thing, when we listen to pt's lung, can we just pretend to put stethoscope there and quickly move around or we have to wait for full inhalation and exhalation??

Any inputs will be highly appreciated.

Thank you!
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Old 05-04-2012
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Hi pass
what i heard is that is you have to listen for 2 seconds only (more of pretending). If you have time, you can listen both anterior and posterior, otherwise i guess one would b enough.

Any other inputs are welcome
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Old 05-05-2012
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You have to examine the lungs anteriorly and posteriorly in order to get a complete check by the SP.

Therefore, you can examine the patient in the sitting position only so that you can do both anterior and posterior.

Make the patient supine only for the abdomen.

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Old 05-05-2012
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Thanks sabio for the reply.
If the case is not related to lungs, can we only do the auscultation posteriorly for lungs?
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Old 05-05-2012
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Quote:
Originally Posted by dr_sherani View Post
Thanks sabio for the reply.
If the case is not related to lungs, can we only do the auscultation posteriorly for lungs?
Do both anterior and posterior, you will miss one of the SP's check list items if you don't do it anteriorly, even if the case was not respiratory.
As you said, just a couple of seconds at each place is enough, you don't need to spend a lot of time on it.

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Old 05-06-2012
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OK.
Actually i saw in csevideos and she was doing only posteriorly for non pulmonary cases.
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Old 05-17-2012
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Quote:
Originally Posted by Sabio View Post
You have to examine the lungs anteriorly and posteriorly in order to get a complete check by the SP.

Therefore, you can examine the patient in the sitting position only so that you can do both anterior and posterior.

Make the patient supine only for the abdomen.

-
Can u please tell me do we shld all palpation,percussion n auscultation of lung on both anterior and posterior chest????or all inspection,palpation,percussion n auscultation on posterior aspect n on anterior part just auscultation???
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Quote:
Originally Posted by Doctor Queen View Post
Can u please tell me do we shld all palpation,percussion n auscultation of lung on both anterior and posterior chest????or all inspection, palpation, percussion n auscultation on posterior aspect n on anterior part just auscultation???
You might skip the palpation and percussion of the anterior chest if the case is not respiratory.
If the case is respiratory it's better to do them all.

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